| NPI | 1245038702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT LANGE Owner 623-523-9642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |